Pelvic health is a physiotherapy expertise that utilized manual techniques, biofeedback, education and sometimes with therapeutic tools in order to relieve symptoms related to these conditions: urinary or fecal incontinence, pelvic pain, constipation, organ prolapses, blocked mammary ducks, diastasis and much more. Whether it’s a few drops of urine or increased involuntary urine loss, not having total bladder control is not normal, even after giving birth and is considered urinary incontinence. We can help you!
A few facts
- 1 in 4 women suffer from urinary incontinence.
- 1 in 3 women suffer from pain during intercourse.
- 2 out of 3 women who suffer from chronic low back pain have unresolved pelvic dysfunction.
- 1 in 3 men with chronic low back pain have unresolved pelvic dysfunction.
It’s just a myth!
To think that urinary incontinence is part of the normal aging process. There is always room for improvement, regardless of age!
To say that incontinence is a disease. It is simply a disorder that we can treat which is often related to pelvic floor muscles imbalances.
Types of incontinence
- Stress urinary incontinence: urine loss during activities such as coughing, jumping, running, sneezing, lifting.
- Urge urinary incontinence: loss of urine when there is a sudden urge to urinate but you don’t get to the bathroom in time.
- Mixed urinary incontinence: a combination of stress urinary incontinence and urgency.
- Overflow urinary incontinence: the loss of urine from a full bladder without feeling a urinary warning.
- Functional urinary incontinence: urinary losses related to physical dysfunction or cognitive impairment.
Who is it for?
- Pregnant women and post-delivery
- Men and women with pelvic cancer
- Bladder problems (incontinence, urgency)
- Bowel problems (incontinence, urgency, constipation)
- Pelvic pain
- Prolapsus of internal organs
- Difficulty with intercourse
- Blocked mammary ducks or mastitis
Research shows that pelvic floor rehabilitation is a physiotherapy expertise that is 80 to 90% effective following stress urinary incontinence treatments. Physiotherapy is recommended as a first line of defense before considering surgery.
Different causes of incontinence
- Weakness of the pelvic floor muscles
- Bladder pressure problems
- Internal organ prolapsus
- Bad habits (urine and stool)
- Hormonal changes
- Abdominal or pelvic post-surgery
- Chronic respiratory conditions
- Neurological problems
- Related to an accident trauma
Cancer and pelvic floor care
After prostate surgery, men have a 35% chance of having urinary incontinence. Pelvic floor rehabilitation may be the solution to your symptoms. A pre-operative visit can even prevent urinary incontinence.
Female pelvic cancers :
Pelvic floor rehabilitation can help with problems that may arise from certain gynecological cancers and their treatment (examples: pain, incontinence).
What are the treatments?
Our treatments are custom-made and personalized according to each person’s needs in order to optimize your rehabilitation. Our treatments are given by physiotherapists who are members of the OPPQ and who have post-graduate expertise in pelvic floor rehabilitation and several years of experience in the field. (see biography of physiotherapist who has this expertise).
We offer pessaries:
Small silicone instrument increasingly used to support the bladder and prevent urine leakage during intense activity or even for prolonged standing positions. It’s a personalized protocole to find the correct shape and size of pessary that is adequate for you. Don’t miss out on your favorite sports! Ask your physiotherapist if a pessary would be a good solution for you!
Do you know the Kegels?
These are pelvic floor strengthening exercises. Unfortunately, many people don’t do them properly and it is our role as a physiotherapist in pelvic floor rehabilitation to teach you how to do them properly. It is important to consult a physiotherapist in pelvic floor because in some circumstances, doing Kegels does more harm than good!
What to expect from pelvic floor rehabilitation?
How long does the evaluation take?
Approximately 1 hour
How can I prepare?
It is recommended that you arrive at least 15 minutes before your initial appointment because there are detailed questionnaires to fill out.
Do you give receipts for insurance?
Yes, a receipt will be provided for insurance or tax purposes.
Is a doctor’s prescription mandatory?
No, we can treat you without a doctor’s prescription. Only, some insurance companies require it in order to obtain a refund.
Pelvic floor rehabilitation is only for women?
No, we also treat men and children. Only education and external techniques are carried out in children.
What if I am menstruated the day of my appointment?
There is no problem, physiotherapists are used to it and can still treat you during this period.